Diet & Beverage Suggestions for Short Bowel Syndrome (SBS)

This diet is from the patient guidebook, A Patient’s Guide to Managing a Short Bowel. To order a free copy, go to: https://www.shortbowelsyndrome.com/sign-up.

The “good choices” in this handout are more easily absorbed and tend not to increase diarrhea as much as those in the “avoid” column.

Some general tips:  If you have some colon remaining, a high complex carbohydrate diet is recommended.  If you have a jejunostomy or high output ileostomy, a higher fat diet is recommended. o See sections on carbohydrate and fat below so you know what we mean by this.  Chew your foods well to help break them down.  Avoid concentrated sweets and beverages such as desserts, sodas, sweet drinks/tea, fruit juices, sweet coffee drinks, etc.  Eat up to 6-8 smaller meals per day.  Limit beverages with meals. Instead, sip allowed beverages between meals (see list below).

If you are struggling to maintain a healthy weight, consider meeting with a Registered Dietitian to develop an individualized meal plan.

More information on Nutrition on short bowel syndrome is available at www.GInutrition.virginia.edu.

 Look for Patient Education and scroll down to Short Bowel Syndrome.  Look for Nutrition Articles from the journal Practical Gastroenterology, which you can read or share with your physician.

CRP 8/2017 www.GInutrition.virginia.edu Diet & Beverage Suggestions for Short Bowel Syndrome GOOD CHOICES AVOID COMPLEX CARBOHYDRATES Breads and Grains  Sliced breads  Donuts  Bread stuffing  Sweet rolls  Pita bread  Pop-Tarts®  Naan bread  Pastries (see also dessert section)  Tortillas – flour (whole wheat or white),  Pancakes or waffles with syrup or corn jam/jelly- Both sugar free and regular  Plain banana, carrot or zucchini bread – not really sweet  Plain waffles or pancakes  Corn bread, plain muffins  Bagels, English Muffins  Rolls  Pasta, macaroni, noodles  Rice - white, brown, or wild  Biscuits (without gravy)  Bread sticks Cereals  Unsweetened cereals (with milk or  Sugary cereals such as: Honey Nut eaten dry as a snack) such as: Cheerios®, Frosted Flakes®, Cocoa Cheerios®, Corn Flakes®, Rice Puffs®, Fruit Loops®, etc. Krispies®, Rice, Wheat, & Corn Chex®,  Flavored hot cereals such as maple or Special K®, Kix®, puffed rice or puffed apple cinnamon oatmeal, etc. wheat  Hot cereals: cream of rice or wheat, grits, oatmeal Crackers/Chips  Crackers: saltines, club, soda, Matzo,  Granola bars, flavor-coated popcorns Goldfish®, etc. (Kettle corn, Cracker Jacks®).  Corn or potato chips, reduced fat  Those without a colon may do better potato chips limiting high fiber snacks such as  Bagel snack crackers or chips popcorn.  Rice cakes  Pretzels Starchy Vegetables

 Potatoes  Creamed vegetables.  Sweet potatoes, Yams  Some people (particularly those without  Plantain a colon) may do better limiting legumes  Butternut squash, Pumpkin squash (such as Lima, kidney, black, pinto,  Baked French fries refried, etc.).

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Diet & Beverage Suggestions for Short Bowel Syndrome GOOD CHOICES AVOID FRUITS  Bananas  Dried fruits  Limit to 1 cup per day: Unsweetened  Watch out for high fructose corn syrup canned or fresh fruits (applesauce, in drinks (for example, Capri-Sun®, pears, peaches, mandarin oranges, canned fruits in syrup, etc.) apricots, cherries, plums, etc.)  Fruit canned in syrup  Fruit juice, fruit drinks NON-STARCHY VEGETABLES  Cooked carrots, squash, zucchini,  Creamed vegetables eggplant, turnip or beets  Onions, leeks  Tomatoes, tomato sauce  Broccoli In small amounts:  Brussels sprouts  Leafy greens (romaine, spinach, red lettuce, collard greens, kale, etc.)  Green, red, or yellow pepper PROTEINS Meat, Fish, Poultry  Poultry (chicken or turkey)  Fried meats, fish, or poultry  Beef (flank steak, tenderloin, ground  Raw meats, fish or poultry of any kind beef, meatloaf, etc.)  Pork (ham, Canadian bacon, pork chop, etc.)  Fish, fresh or canned  Shellfish (clams, crab, lobster, scallops, shrimp, etc.)  Game (duck or pheasant, venison, buffalo/bison) Dairy and Soy  Regular cheeses (American, cheddar,  Highly sweetened yogurts or kefir Swiss, Monterey Jack, mozzarella, feta,  Chocolate or other flavored milks Parmesan, etc.)  Flavored soy or rice milks (including  Cottage cheese or ricotta vanilla)  Plain yogurt, yogurt sweetened with  Cream, half and half artificial sweeteners  Plain cow’s milk, soy milk, or rice milk  Buttermilk  Tofu Nuts and Nut Butters  Nutella®, flavored nut butters, nut  Chew well: Peanuts, almonds, cashews, butters with jam or jelly mixed in pecans, walnuts  Peanut, almond, cashew, sunflower seed, or soy butters

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Diet & Beverage Suggestions for Short Bowel Syndrome GOOD CHOICES AVOID FAT CHOICES  Oils, salad dressing (full fat)  Sweetened cream cheeses  Mayonnaise (strawberry, honey nut, etc.)  Miracle Whip®  Cream, half and half  Butter or margarine  Honey butter, flavored nut butters  Cheese, cream cheese  Avocado, Olives  Sesame paste (tahini), hummus  Bacon  Coconut (shredded) MISCELLANEOUS/ SEASONINGS  Salt, pepper, herbs, spices  White or brown sugar  Soy sauce, Worcestershire sauce,  Chocolate or other flavored syrups, vinegar Nutella®  Splenda®, Equal®, Sweet ‘N Low®,  Maple or other syrups Stevia, etc.  High fructose corn syrup, corn or Karo®  Dill Pickles syrup, Molasses, Honey  Tabasco or Hot Pepper Sauce  Jams and jellies  Unsweetened cocoa powder  Sugar alcohols (sorbitol, xylitol, mannitol) in "sugar-free" products such as jam, jellies, Jell-O®, and candy DESSERTS (VERY LIMITED AMOUTNTS)  Plain (no icing/sugar sprinkles) cake  Cake (especially with icing), snack donuts, Pound cake, Angel food cake cakes (Little Debbie’s®), cookies, pie,  Graham crackers brownies  Gingersnaps  Candies, fruit snacks, etc.  Vanilla wafers  Danish, PopTarts®, donuts  Angel food cake  Pudding, sweetened gelatin  Shortbread  Ice cream, sherbet, sorbet, popsicles  Marshmallows BEVERAGES AND HYDRATION  Soups, broth  More than 4 ounces coffee, tea, & ice  Oral Rehydration solutions: Ceralyte®, tea DripDrop, “WHO” formula, Pedialyte®  Flavored or sweetened coffees (or store brand equivalents, etc.) See  Sweet teas website for recipes under patient  Hot cocoa, Ovaltine®, Nesquick® education at:  Fruit juices or fruit drinks (watch out for www.ginutrition.virginia.edu high fructose corn syrup in drinks),  Limit water Kool-Aid®, Tang®  If allowed: less than 4 ounces coffee,  Sodas (all kinds) tea, ice tea  Sugar free beverages  If allowed: 6 ounces Lactaid® milk  Alcohol  Supplements like Boost®, Ensure®, etc.